Medicare Managed Care Manual (Pub. 100-16), Ch. 18c § 70

Allocation and Distribution of Other Administrative and General

Last amended: 2003Year: 2003Length: 182 wordsOfficial source
70 - Allocation and Distribution of Other Administrative and General Costs (Rev. 30, 09-05-03) Administrative and General (A&G) costs other than those described in §60 of this chapter which bear a significant relationship to the services rendered are not apportioned to Medicare directly. Instead, these costs are allocated or distributed to the components of the HCPP which, in turn, are then apportioned to Medicare in accordance with the rules contained in this chapter. The allocation or distribution process occurs in two steps: 1. The total allowable costs of a separate entity or department that performs administrative services (e.g., centralized purchasing, accounting, data processing) that can be quantitatively measured, should be allocated or distributed to each component of the HCPP in reasonable proportion to the benefits received by that component. 2. Those remaining service-related administrative costs that cannot otherwise be distributed or allocated in reasonable proportion to the benefits received by the components, must be allocated to the components on the basis of a ratio of total incurred and distributed cost of the component to total incurred and distributed cost to all components.
Medicare Managed Care Manual (Pub. 100-16), Ch. 18c § 70: Allocation and Distribution of Other Administrative and General | Justis AI